| NPI | 1245070952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAVAN MAIR Owner 540-227-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-31 |